ANTHONY J. REVELLI

OAKLAND, CA
NPI1568450575
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: CA  5452T)
Enumeration Date2005-10-12
Last Update Date2007-07-08
Business Address
-- ANTHONY J. REVELLI O.D.
1773 BROADWAY
OAKLAND, CA 94612-2105
Phone number: 510-832-5625
Mailing Address
-- ANTHONY J. REVELLI O.D.
1773 BROADWAY
OAKLAND, CA 94612-2105
Phone number: 510-832-5625